Single port laparoscopic sacrohysteropexy in a young patient presenting with grade III uterine prolapse and rectocele

Introduction:This series of cases was an investigation of the safety and feasibility of robotic laparoendoscopic single-site surgery (R-LESS) as a method of performing sacrocolpopexy.Case Presentation:This is a retrospective series of 15 cases of R-LESS sacrocolpopexy with the V-Loc (Medtronic, Minneapolis, Minnesota, USA) suture and a retroperitoneal tunneling technique performed by a single surgeon, combined with a literature review. Patient demographic information and perioperative data were analyzed. The standard robotic sacrocolpopexy steps were followed, but the surgeon used a combined technique of V-Loc suture and retroperitoneal tunneling to simplify the procedure. No additional ports were necessary in any of the patients.Management and Outcome:Using the pelvic organ prolapse quantification (POP–Q) scoring method, the mean preoperative C-point of the 15 patients was +1.16 compared to the mean immediate postoperative C-point, which was −5.5. The mean total sacrocolpopexy time was 74.7 (range, 50–99) minutes and mean mesh anchoring time was 22.60 ± 3.85 minutes. The mean sacral promontory fixation and tunneling and mesh position times were 11.87 ± 3.02 and 5.80 ± 2.14 minutes, respectively. All 15 cases were performed without perioperative or long-term complications.Discussion:R-LESS in combination with the V-Loc suture and the retroperitoneal tunneling technique can be safely and feasibly performed, especially in sacrocolpopexy and, potentially, in other POP surgeries. With adequate and systematic training, surgeons can acquire the necessary skills to perform this complex surgical procedure.

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“…After that, more and more gynecologic surgeries were reported to be feasible, including sacrocolpopexy. 13 , 17 – 19 …”

Section: Discussionmentioning

confidence: 99%

Robotic Single-Site Sacrocolpopexy with Retroperitoneal Tunneling

Liu

Bardawil

Zurawin

et al. 2018

JSLS

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“…Future studies are needed to determine whether the LESS approach provides any benefit over conventional or robotic-assisted laparoscopic approaches [57,58,59•].…”

Section: Laparoendoscopic Single-site Surgery (Less) For Pelvic Prolapsementioning

confidence: 99%

Minimally Invasive Pelvic Reconstructive Surgery: A Literature Review of Laparoscopic Surgery for Pelvic Organ Prolapse

Takase-Sanchez

Hale

2013

Curr Obstet Gynecol Rep

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Pelvic reconstructive surgery for pelvic organ prolapse includes transvaginal, open, laparoscopic, and roboticassisted approaches. Laparoscopy has established a significant role in minimally invasive surgery across surgical disciplines. In pelvic surgery, although the vaginal approach may offer the most native route to a minimally invasive technique, advances in gynecologic laparoscopy have reported advantages over traditional routes maintaining safety, efficacy, and high patient satisfaction. Majority of current data is limited to descriptive case series and retrospective data that nonetheless continue to support the laparoscopic approach as a reasonably safe alternative to open and vaginal approaches. Few prospective, clinical trials have compared the safety, efficacy, and costeffectiveness of various approaches and surgical techniques highlighting challenges in the utility of robotic-assistance and vaginal graft placement. This literature review provides a summary of important historical and current data in regards to surgical technique and clinical outcomes of advanced pelvic laparoscopy for pelvic organ prolapse.

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Single port laparoscopic sacrohysteropexy in a young patient presenting with grade III uterine prolapse and rectocele

Abstract: The Single Port laparoscopy is an advanced laparoscopic technique. This video demonstrate that scaro-hystero-pexy can be done safely and efficacy with Single Port Laparoscopy without prolonging the operation time significantly.

Cited by 2 publications

References 3 publications

Robotic Single-Site Sacrocolpopexy with Retroperitoneal Tunneling

Robotic Single-Site Sacrocolpopexy with Retroperitoneal Tunneling

Minimally Invasive Pelvic Reconstructive Surgery: A Literature Review of Laparoscopic Surgery for Pelvic Organ Prolapse

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